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To view specimen requirements and codes please select your laboratory:
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Urinalysis, Complete, with Reflex to Culture [3020X]
Macroscopic and Microscopic Examinations
A culture is performed, when appropriate, at an additional charge (CPT code(s): 87088, 87086).
10 mL random urine submitted in a UA Transport Tube (yellow-top, blue fill line, preservative tube)
Minimum: 4 mL of random urine submitted in a (gray-op) Urine Culture Tube
UA Transport Tube: 1 mL
10 mL random unpreserved urine submitted in a sterile, leak-proof urine container
The following criteria will be used to trigger a reflex to culture, which will be performed
automatically at an additional charge:
Presence of bacteria AND the presence of WBCs (> 5/hpf) OR leukocyte esterase
Presence of nitrite AND the presence of WBCs (> 5/hpf) OR leukocyte esterase
Presence of leukocyte esterase alone
Presence of WBCs (> 5/hpf) alone
Presence of yeast
Cleanse the urethral/glans area with soap and water and rinse with wet gauze pads. Encourage mid stream samples to minimize contamination and improve accuracy. Label the sample appropriately and store at room temperature until pick-up.
Note: The yellow-top, blue fill line tube cannot be used for collection and transport of specimens for urine culture.
Submit two separate specimens:
1). 10 mL (1 mL minimum) urine in urinalysis transport tube (yellow-top, blue fill line, preservative tube).
2). 4 mL (fill to minimum line printed on tube; unpreserved for Cultures 0.5 mL minimum) urine in urine culture tube (gray-top) tube.
Other acceptable specimen type:
Specimens not submitted in urine preservative tube (specimens from long term care and/or pediatric difficult collections only).
UA Transport Tube Gray Top Urine Culture Tube
Preserved: Room temperature
Unpreserved: Refrigerated (cold packs)
Room temperature: 72 hours
Room temperature: 2 hours
Refrigerated: 24 hours
Reagent Impregnated Strips or Tablets
|Quest Diagnostics Nichols Institute|
|14225 Newbrook Drive|
|Chantilly, VA 20153|
Set up: Daily p.m., & night; Report available: Next day
See Medical Report
Dipstick urinalysis is important in accessing the chemical constituents in the urine and the relationship to various disease states. Microscopic examination helps to detect the presence of abnormal urine cells and formed elements. Culture may identify the organism(s) causing infection.
The Result and LOINC information listed below should not be used for electronic interface maintenance with Quest Diagnostics. Please contact the Quest Diagnostics Connectivity Help Desk for more information at 800-697-9302.NOTE: The codes listed in the table below are not orderable Test Codes.
|Result Name||LOINC Code||Component Name|
|25427B||PROG. URINE CULTURE||630-4||Bacteria identified|
|3377-AC||Specific Gravity||5811-5||Specific gravity|
|3377-AK||Leukocyte Esterase||5799-2||Leukocyte esterase|
|3377-BD||Squamous Epith. Cells||11277-1||Epithelial cells.squamous|
|3377-BF||Hyaline Cast||5796-8||Hyaline casts|
|3377-BG||Granular Cast||5793-5||Granular casts|
|3377-BI||Amorphous Crystals||8246-1||Amorphous sediment|
Reference ranges are provided as general guidance only. To interpret test results use the reference range in the laboratory report.
The CPT codes provided are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payer being billed.
LOINC assignment is based on a combination of test attributes, including the method used by the performing laboratory. For tests not performed by Quest Diagnostics, codes are assigned by the performing laboratory.
* The tests listed by specialist are a select group of tests offered. For a complete list of Quest Diagnostics tests, please refer to our Directory of Services.